06 oct
|
MCS Healthcare Holdings, LLC (MCS)
|
San Juan
06 oct
MCS Healthcare Holdings, LLC (MCS)
San Juan
Home Services Specialist - Aguadilla / Arecibo
Regular
Exempt
GENERAL DESCRIPTION:
Serves as a liaison between the company and extended care home administration to coordinate, refer, and manage documents and/or services related to the company’s Home Health Program. Responsible for handling, channeling, and resolving service situations related to complaints, claims, and operational situations of the home care initiatives. Works and channels all services related to the program for all lines of business, in addition to promoting and maintaining a healthy business relationship. Validates and determines the steps to be taken to refer service requests to the appropriate areas, maintains a record of those steps, and follows up to ensure prospect satisfaction, retention, and new referrals.
ESSENTIAL FUNCTIONS:
•Serves as the primary contact for Extended Care Home Administrators and Owners, maintaining a healthy business relationship to attend, channel, and resolve service situations,
keeping the quality standards of service and guaranteeing that they are resolved within the established time in compliance with applicable regulations.
•Responsible for managing and following up on the delivery, mailing, and/or pick up of documents, forms, applications, materials, and/or information related to the Extended Care Homes Program from the beneficiary value programs, within the required frequency and in compliance with the program.
•Works and maintains visitation schedules to assigned extended care homes to identify needs and keep administrators informed of the various programs that the company has available.
•Manages and audits (Medplus Solutions) in the delivery of the Home Bundle Benefit to the Long-Term Care Homes. Channels and resolves service barriers related to the Long-Term Care Home Program and enrollees' coverage benefits.
•Analyzes and identifies root causes of service barriers and/or repetitive complaints submitted by the home administrator; documents analysis and escal
📌 Home Services Specialist (San Juan)
🏢 MCS Healthcare Holdings, LLC (MCS)
📍 San Juan